| NPI | 1356321855 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3314412)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 1-089006)  | 
| Enumeration Date | 2006-01-19 | 
| Last Update Date | 2011-11-11 |